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78013 Medicaid reimbursement rate by state (2026)

Imaging and radiology. Medicaid pays a median of $128.83 for 78013 across 49 states, from $14.31 in Texas to $351.64 in Nebraska.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
49
National median
$128.83units vary by state
Lowest
$14.31Texas
Highest
$351.64Nebraska

What does Medicaid pay for 78013?

49 state Medicaid programs publish a fee-for-service rate for 78013 at the physician psychologist level. The national median is $128.83 (units differ between states). Nebraska pays the most, $351.64, and Texas the least, $14.31, a 24.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $143.72–$233.87 depending on the state's Medicare locality.

78013 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nebraska Source · since 2026-07-01$351.64——Plans negotiate; applies out of network—
2Alaska Source · since 2026-07-01$220.71——Not classified—
3Montana Source · since 2026-07-01$209.87——Not classified—
24Georgia Source · since 2017-01-01$128.87——Plans negotiate; applies out of network—
25Massachusetts Source · since 2026-10-01$128.83——Plans negotiate; applies out of network—
26Colorado Source · since 2026-07-01$128.57——Plans negotiate; applies out of network—
48New York Source · since 2023-10-01$14.95unit—Plans negotiate; applies out of network—
49Texas Source · since 2025-03-01$14.31——Plans negotiate; applies out of network—
See all 49 states for 78013 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 78013 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for 78013?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $128.83. Nebraska pays the most ($351.64) and Texas the least ($14.31).

Which state pays the highest Medicaid rate for 78013?

Nebraska, at $351.64, effective 2026-07-01.

Do managed-care plans pay the same rate for 78013?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.